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M9480470.TXT
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1994-08-20
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Document 0470
DOCN M9480470
TI Predictors of unprotected intercourse among gay and bisexual youth:
knowledge, beliefs, and behavior.
DT 9410
AU Remafedi G; Youth and AIDS Project, University of Minnesota Hospital
and; Clinics, Minneapolis 55455-0392.
SO Pediatrics. 1994 Aug;94(2 Pt 1):163-8. Unique Identifier : AIDSLINE
MED/94309964
AB OBJECTIVE. To examine human immunodeficiency virus (HIV)-related
knowledge, attitudes, and behaviors and predictors of unprotected anal
intercourse. DESIGN. Structured interviews and paper-and-pencil
instruments. SETTING. Community sites in Minnesota during 1989 to 1991.
SUBJECTS. Two hundred thirty-nine gay and bisexual male adolescent
volunteers. OUTCOME MEASURES. AIDS knowledge and beliefs, self-reported
substance use, and sexual behavior. RESULTS. Subjects demonstrated
accurate knowledge and beliefs about HIV; but 63% were found to be at
extreme risk for prior HIV exposure, based on histories of unprotected
anal intercourse and/or intravenous drug use. Thirty-four percent of
subjects reported unprotected anal sex with at least one of the last
three partners in the previous year. Perceived likelihood of HIV
acquisition, substance abuse, having a steady partner, noncommunication
with partners about risk reduction, and frequent intercourse were found
to be significantly associated (P < .05) with unprotected anal sex in
the previous year. CONCLUSIONS. Programs for gay and bisexual youth
should focus on preventing unprotected anal intercourse. Other goals are
to promote: communication with sexual partners, consistent condom use
during oral and vaginal sex, low risk sexual practices, avoidance of
substance use in sexual situations, and developmentally appropriate HIV
antibody counseling and testing services.
DE Adolescence Adult *Bisexuality/STATISTICS & NUMER DATA Comparative
Study Condoms/STATISTICS & NUMER DATA/*UTILIZATION Female
*Homosexuality/STATISTICS & NUMER DATA Human HIV
Infections/EPIDEMIOLOGY/PREVENTION & CONTROL HIV-1 Interviews
*Knowledge, Attitudes, Practice Logistic Models Male
Minnesota/EPIDEMIOLOGY Prognosis Questionnaires Risk Factors *Sex
Behavior/STATISTICS & NUMER DATA Sexual Partners Support, Non-U.S.
Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).